Effective July 1, 2022, Horizon BCBSNJ collaborates with TurningPoint to administer PA/MND review for certain spine-related services which will include non-surgical and surgical services that may use an implantable device (“spine-related services) for services to be provided to members enrolled in Horizon NJ Health Medicaid, FIDE-SNP and MLTSS plans.
- Review the procedures subject to PA/MND as part of our Surgical and Implantable Device Management Program for Spine Services.
TurningPoint will not conduct PA/MND reviews of services that are to be provided to members enrolled in ABD or MLTSS plans for whom Medicare is the primary payer.
You can determine member eligibility and benefits by calling the phone number on the back to the member’s ID card.
CPT® is a registered trademark of the American Medical Association.
NaviNet® is a registered trademark of NaviNet, Inc.
TurningPoint Healthcare Solutions, LLC supports Horizon Blue Cross Blue Shield of New Jersey in the administration and utilization management review of certain orthopedic, cardiac and spine-related services for coverage. TurningPoint Healthcare Solutions, LLC is independent from, and not affiliated with Horizon Blue Cross Blue Shield of New Jersey or the Blue Cross Blue Shield Association.